Understanding the Side Effects of Psychiatric Medications: A Patient's Concern
Adverse drug effects, medication issues? Hello, doctor. I would like to ask about the insomnia medication I received at the clinic. The medication I take in the morning is combined with my hypertension medication. In February, I switched to this capsule, "Eliquis" (Bacl...
Dr. Zhong Mingxun reply Psychiatry
Yuli Shupan tablets 0.25 mg are anxiolytic medications. Many individuals with anxiety may experience gastrointestinal motility issues and decreased gastric mucosal secretion. Therefore, in many highly anxious individuals who also have gastrointestinal discomfort, this medication ...[Read More] Understanding the Side Effects of Psychiatric Medications: A Patient's Concern
Should You See a Psychiatrist? Understanding Mental Health Concerns
Should I see a psychiatrist? Since childhood, there have been various conflicts at home, sometimes escalating into hysterical arguments with my mother. After each fight, I feel terrified, as if the person who was yelling and throwing things is not really me. Normally, I smile and...
Dr. Zhong Mingxun reply Psychiatry
I only experience excessive sweating, rapid heartbeat, dizziness, and nausea when I am in crowded places. This is likely a symptom of anxiety or panic, but it could also be a physiological issue. I recommend that you first visit an internal medicine specialist for an evaluation. ...[Read More] Should You See a Psychiatrist? Understanding Mental Health Concerns
Can Transference Influence Sexual Orientation in Young Adults?
Could "transference" potentially lead someone to become homosexual? I am a 22-year-old male. Since elementary school, I have been interested in both boys and girls, but as I grew older, particularly starting in middle school, my interest in boys became significantly mor...
Dr. Zhong Mingxun reply Psychiatry
From a young age, the need to idolize the father was transferred to other boys and male elders at school, leading to this behavior becoming a pattern from early childhood. As one grows older, this can develop into a homosexual attraction. From a psychological perspective, this is...[Read More] Can Transference Influence Sexual Orientation in Young Adults?
Can Medication Help My Friend with Chronic Insomnia Due to Noise?
The issue of insomnia? Hello doctor, I am asking on behalf of a classmate. I have seen her mention on Facebook several times that she cannot sleep at night due to her family being very noisy, which has led to long-term insomnia. I would like to ask if medication could help her wi...
Dr. Zhong Mingxun reply Psychiatry
Her family is very noisy at night, which has caused her long-term insomnia. Addressing this underlying issue is the true solution. Only if it is unavoidable or cannot be changed should medication be considered.[Read More] Can Medication Help My Friend with Chronic Insomnia Due to Noise?
Does Mental Health Treatment Impact Education and Employment Opportunities?
Will psychiatric treatment records affect education or employment? I am 24 years old and studying at a certain graduate school in the College of Engineering at National Chiao Tung University. I have had social anxiety disorder since childhood. I was diagnosed in my senior year an...
Dr. Zhong Mingxun reply Psychiatry
Will psychiatric medical records really be discovered? --> No, medical records are personal private information, and unless you consent, others cannot access your medical records. How long does it take to completely cure social anxiety disorder? --> There is no standard a...[Read More] Does Mental Health Treatment Impact Education and Employment Opportunities?
Managing Sleep Disorders: Understanding Medication Side Effects and Concerns
At night, when lying in bed with my eyes closed, I tend to think about various random things, which leads to insomnia? Hello, Doctor. I would like to ask Dr. Zhong about the medications I received at the clinic. I take my morning medication along with my antihypertensive medicati...
Dr. Zhong Mingxun reply Psychiatry
If medication consolidation is possible, it is best to avoid drug interactions. Generally, sedative-hypnotics do not have a significant impact on blood pressure, and only a very small number of individuals with specific sensitivities may experience such effects. It may be benefic...[Read More] Managing Sleep Disorders: Understanding Medication Side Effects and Concerns
Afternoon Sweat: Is It Anxiety or Something More Serious?
Sweating during afternoon naps? I have mild anxiety disorder, and in the past few weeks, I have experienced night sweats three times while napping in the afternoon (lying down). The first two times occurred after I had been crying before sleeping. This afternoon, I was startled a...
Dr. Zhong Mingxun reply Psychiatry
There are many factors that contribute to sweating, including physiological, psychological, and environmental factors. Based on your description, if the cause is not environmental or physiological, it is very likely that sweating may be due to anxiety.[Read More] Afternoon Sweat: Is It Anxiety or Something More Serious?
Understanding Sleep Issues: The Risks of Abruptly Stopping Medication
Sleep issues Hello Doctor, I stopped taking half a tablet of Mirtazapine yesterday to see if I could fall asleep, but I ended up lying awake for over an hour and woke up around 5 AM, unable to fall back asleep. I later tried to lie down again. I want to ask if it was unwise to ab...
Dr. Zhong Mingxun reply Psychiatry
It is unlikely to be bipolar disorder, so you can feel reassured about the medication aspect; however, it is best to discuss this with your physician. Additionally, if you are only taking medication without addressing the underlying causes of insomnia, it is usually difficult to ...[Read More] Understanding Sleep Issues: The Risks of Abruptly Stopping Medication
Understanding OCD: Concerns About Harm and Social Anxiety
Worrying about being harmed or attracting misfortune? Hello Dr. Zhong, I have been suffering from obsessive-compulsive disorder (OCD) for about 13 years. Initially, I was only concerned about whether the gas was turned off and whether the doors were securely closed. When driving ...
Dr. Zhong Mingxun reply Psychiatry
Obsessive-compulsive disorder (OCD) primarily involves intrusive thoughts or repetitive behaviors. As long as these do not interfere with daily functioning, there is generally no need for excessive concern. Sometimes, when one obsession fades, another may emerge. Currently, I can...[Read More] Understanding OCD: Concerns About Harm and Social Anxiety
Managing Academic Stress: Understanding Anxiety and Its Symptoms
Stress issues Hello, Doctor: I am currently a junior in college, but ever since I advanced to the third year, I have been feeling an increasing amount of pressure, especially with so much research to do every day. The thought of approaching employment makes me feel very frustrate...
Dr. Zhong Mingxun reply Psychiatry
Stress can lead to sympathetic nervous system activation, which affects most organs in the body. Therefore, whenever there is anxiety, it can result in discomfort throughout your body. You are not experiencing a neurological disorder; rather, your personality may be causing exces...[Read More] Managing Academic Stress: Understanding Anxiety and Its Symptoms
Overcoming Anxiety: Coping with Intrusive Thoughts and Fears
Please help me (continued) I still have some questions, and I apologize for bothering you, doctor. Here’s what I previously mentioned: Before this incident, I considered myself a positive thinker and someone who enjoyed life. However, since last year, I suddenly started having fa...
Dr. Zhong Mingxun reply Psychiatry
Your condition may simply be a lack of confidence and anxiety, but it could also be early symptoms of obsessive-compulsive disorder or schizophrenia. It would be advisable to consult a psychiatrist for a thorough evaluation; otherwise, you may continue to be in a state of self-in...[Read More] Overcoming Anxiety: Coping with Intrusive Thoughts and Fears
Effective Strategies for Managing Sleep Disorders and Anxiety
Sleep disorders Hello, doctor. Recently, a friend of mine has been having trouble sleeping. Her stressors have accumulated over a long period, and she tends to keep her issues to herself, so I only know a little about her situation. She has been seeing a psychiatrist for 2 to 3 y...
Dr. Zhong Mingxun reply Psychiatry
For this friend, the most important thing is to provide care and companionship. Additionally, you can encourage her to seek psychotherapy, as medication treatment seems to have reached its limits. Psychotherapy can help her address the underlying issues; otherwise, she may easily...[Read More] Effective Strategies for Managing Sleep Disorders and Anxiety
Managing Anxiety: Understanding Post-Exercise Fatigue and Weakness
Anxiety disorder, fatigue, and generalized weakness after mild exercise? I am a college re-examinee this year, and I feel a lot of pressure regarding further education. Previously, I experienced palpitations after exercising and consulted a cardiologist. Both the exercise electro...
Dr. Zhong Mingxun reply Psychiatry
Stress can lead to sympathetic nervous system activation, which affects most organs in the body. Therefore, whenever there is anxiety, it can result in generalized discomfort. Many individuals seek medical attention due to this physical discomfort, but often fail to find a cause,...[Read More] Managing Anxiety: Understanding Post-Exercise Fatigue and Weakness
Understanding the Absence of Hunger: A Mental Health Perspective
Lack of appetite? Hello, doctor. Since the end of December last year, I have been struggling in my master's program and often find myself questioning the direction and purpose of my life. By early January this year, I felt something was off and decided to see a psychiatrist....
Dr. Zhong Mingxun reply Psychiatry
There is no feeling of hunger (but still eating, with a particular craving for sweet foods), and sleep is shallow (like just resting with eyes closed). This has been ongoing until now. Essentially, these two issues reflect your psychological stress, especially since you are curre...[Read More] Understanding the Absence of Hunger: A Mental Health Perspective
Understanding Frequent Dreaming and Sleep Disturbances: Is It Normal?
Dreaming excessively? Hello, I have been experiencing a lot of dreams for a long time. I know that dreaming frequently is normal, but every time I wake up, I feel very tired and as if I haven't slept much. Is this normal? I also snore and grind my teeth, and sometimes I slee...
Dr. Zhong Mingxun reply Psychiatry
Dreaming is normal, but having frequent dreams is not. Dreaming occurs during the REM (Rapid Eye Movement) stage of sleep, which indicates that one is not entering deep sleep. If you experience frequent dreams, you may wake up feeling tired, as if you haven't slept well. The...[Read More] Understanding Frequent Dreaming and Sleep Disturbances: Is It Normal?
Should I See a Psychiatrist? Understanding Mental Health Struggles
Please help me, should I see a psychiatrist? Before this happened, I thought of myself as a positive thinker and someone who enjoyed life. However, last year, I suddenly had a strange fantasy, wondering if everyone in the world was lifeless. I ended up believing in this fantasy, ...
Dr. Zhong Mingxun reply Psychiatry
Your condition may simply be a state of anxiety, or it could be an early sign of a mental health disorder. It is advisable to seek evaluation from a psychiatrist as soon as possible for a comprehensive assessment, which will help put your mind at ease.[Read More] Should I See a Psychiatrist? Understanding Mental Health Struggles
Understanding Your Partner's Emotional Instability: Seeking Help Together
My boyfriend has unstable emotions? Hello, my boyfriend is usually a very humorous person, and we have a great time together. However, when he experiences allergies (he has very severe allergies), he tends to take out his frustration on others and gets angry. Additionally, when t...
Dr. Zhong Mingxun reply Psychiatry
My boyfriend is usually very humorous, but he loses control of his emotions every time he gets angry, and he completely disconnects from rational thinking, unable to consider the consequences. This may be related to some underlying psychological issues that he is unable to confro...[Read More] Understanding Your Partner's Emotional Instability: Seeking Help Together
Managing Uncontrolled Emotions: A Student's Struggle at Home
Inability to control emotions? I am a student who has a good temper at school and rarely gets angry; I can control my emotions well and usually smile. However, when I get home, I inexplicably feel unhappy, have a sour expression, and become irritable (my family is very nice and d...
Dr. Zhong Mingxun reply Psychiatry
Many adolescents may appear fine at school, but experience significant conflicts with their families at home. This could be a phenomenon related to their developmental process of seeking independence. During this period, teenagers often explore their personal boundaries and may f...[Read More] Managing Uncontrolled Emotions: A Student's Struggle at Home
Understanding Emotional Distress: Is It Stress or Something More?
Psychological issues I have been feeling very unhappy lately. I cry easily and feel like no one in this world truly cares for or loves me, not even my family. My mind keeps dwelling on negative thoughts, which makes me feel exhausted and tired, and I constantly want to sleep. I f...
Dr. Zhong Mingxun reply Psychiatry
It is a matter of stress, but more importantly, it is a lack of security and an inability to trust others. The stress is merely a surface issue. You should consider seeking a mental health professional for a comprehensive evaluation.[Read More] Understanding Emotional Distress: Is It Stress or Something More?
Understanding Sleep Disorders: Managing Irregular Sleep Patterns and Fatigue
Sleep disorders For the past three months, I have been experiencing almost daily issues with sleep, either struggling to fall asleep or sleeping excessively throughout the day, with very few instances of normal, refreshing sleep. Initially, I could fall asleep around 4 AM, but la...
Dr. Zhong Mingxun reply Psychiatry
Your sleep is indeed problematic, and you should start by establishing a regular sleep schedule. Physiologically, having different routines each day can disrupt your circadian rhythm. Additionally, you may experience emotional distress without being aware of it, which can lead to...[Read More] Understanding Sleep Disorders: Managing Irregular Sleep Patterns and Fatigue